SANFORD CLINIC


Address: 1210 W 18th St, Sioux Falls, SD 57104-4647
Phone: 6053283999

SANFORD CLINIC (NPI# 1639126402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639126402
Entity Type Organization
Organization Name SANFORD CLINIC
Other Organization Name SANFORD CLINIC BAKER SPECIALTY ORTHOPEDICS
Practice Address 1210 W 18th St
Sioux Falls
SD 57104-4647
Practice Telephone 6053283999
Practice Fax Number 6053282867
Mailing Telephone 6053283999
Mailing Fax Number 6053282867
Enumeration Date 2006-05-27
Last Update Date 2019-11-25
Authorized Official Name STEVE GOETSCH (CFO)
Authorized Official Telephone 6053286940
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207XS0106X Orthopaedic Surgery
Specialization: Hand Surgery
Allopathic & Osteopathic Physicians
N 207XS0114X Orthopaedic Surgery
Specialization: Adult Reconstructive Orthopaedic Surgery
Allopathic & Osteopathic Physicians
N 207XX0004X Orthopaedic Surgery
Specialization: Foot and Ankle Surgery
Allopathic & Osteopathic Physicians
N 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
Allopathic & Osteopathic Physicians
N 207XX0801X Orthopaedic Surgery
Specialization: Orthopaedic Trauma
Allopathic & Osteopathic Physicians
Y 207X00000X Orthopaedic Surgery Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MN 684424300 05

Other Provider/Organization Names

Other Name Type Code
Sanford Clinic Baker Specialty Orthopedics Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1164069506 Sanford Clinic Clinic/Center 2310 S Marion Rd Ste 140, Sioux Falls, SD 57106-1144 2019-12-04
1457995714 Sanford Clinic Clinic/Center 1112 S Lake Ave, Ste 201, Sioux Falls, SD 57104 2019-10-30
1356983175 Sanford Clinic Clinic/Center 366 Hillsboro Technology Dr, Deerfield Beach, FL 33441-1836 2019-10-14
1427555002 Sanford Clinic Family Medicine 136 S Phillips Ave Ste 102, Sioux Falls, SD 57104 2018-04-10
1396089900 Sanford Clinic Nurse Practitioner 1309 W 17th St Ste 102, Sioux Falls, SD 57104-4663 2012-11-20
1740416395 Sanford Clinic Pediatrics 2502 W. Elk Ave., Duncan, OK 73533 2009-06-09
1861685166 Sanford Clinic Radiology 891 14th Ave Ne, Watertown, SD 57201 2007-08-21
1366635740 Sanford Clinic Family Medicine 433 Kansas Ave Se, Huron, SD 57350-2561 2007-08-20
1922123108 Sanford Clinic Clinic/Center 703 S Broadway, Watertown, SD 57201 2007-03-20
1285738997 Sanford Clinic Obstetrics & Gynecology 1201 S Euclid Ave Ste 201, Sioux Falls, SD 57105-0434 2006-09-12

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities SANFORD CLINIC 1305 W 18th St, Sioux Falls, SD 57105-0401
Colorado Business Entities Sanford Clinic 1305 W 18th St, Sioux Falls, SD 57105
Iowa Business Entities SANFORD CLINIC 1305 W 18th St, Sioux Falls, SD 57105
Oklahoma Business Registrations SANFORD CLINIC 1305 W 18th St, Sioux Falls, SD 57105
Iowa Business Entities SANFORD CLINIC NORTH 801 Broadway North, Fargo, ND 58122
System for Award Management (SAM) Entities SANFORD CLINIC NORTH FARGO 801 Broadway N, Fargo, ND 58102-3641

Office Location

Street Address 1210 W 18TH ST
City SIOUX FALLS
State SD
Zip Code 57104-4647

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043216955 John Elmer Forrette Jr. Podiatrist 1210 W 18th St, Sioux Falls, SD 57104-4647 2005-06-24
1437701570 April E Labat Nurse Practitioner 1210 W 18th St, Sioux Falls, SD 57104-4647 2019-07-09
1245731728 Jonathan Sorensen Nurse Practitioner 1210 W 18th St, Sioux Falls, SD 57104-4647 2018-02-21
1639610116 Krystal Niesen Physician Assistant 1210 W 18th St, Suite G01, Sioux Falls, SD 57104-4647 2017-03-16
1811433709 Marie Hansen Physician Assistant 1210 W 18th St, Suite G01, Sioux Falls, SD 57104-4647 2017-01-16
1952843054 Megan Marie Weston Nurse Practitioner 1210 W 18th St, Suite 100, Sioux Falls, SD 57104-4647 2016-11-07
1497203780 Stacy Eden Nurse Practitioner 1210 W 18th St, Sioux Falls, SD 57104-4647 2016-09-14
1689021537 Christopher De Berg Nurse Practitioner 1210 W 18th St, Suite G01, Sioux Falls, SD 57104-4651 2016-05-20
1902285463 Caleb Richard Blauwet Physician Assistant 1210 W 18th St, Suite G01, Sioux Falls, SD 57104-4647 2015-05-29
1144613803 Joanne Gunderson Nurse Practitioner 1210 W 18th St, Ste 100, Sioux Falls, SD 57104-9890 2015-03-05
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518594134 Melissa Bader Nurse Practitioner 1112 S. Lake Ave, Suite 201, Sioux Falls, SD 57104 2020-03-24
1457995714 Sanford Clinic Clinic/Center 1112 S Lake Ave, Ste 201, Sioux Falls, SD 57104 2019-10-30
1427555002 Sanford Clinic Family Medicine 136 S Phillips Ave Ste 102, Sioux Falls, SD 57104 2018-04-10
1033637210 Anna Peasley Speech-Language Pathologist 710 W 18th St, Sioux Falls, SD 57104 2017-09-07
1699204313 Sioux Falls Primary Home Care Services LLC In Home Supportive Care 201 N Minnesota Ave Ste 101l, Sioux Falls, SD 57104 2017-06-06
1093258808 Megan Regina Wexler Social Worker 4510 N Lewis Ave, Sioux Falls, SD 57104 2016-11-28
1831645498 Ryan Ortiz Specialist/Technologist 1908 1/2 Old Town Rd Nw, Albuquerque, NM 57104 2016-09-01
1881140622 Kristine Carol Smith Occupational Therapist 601 N. Spring Ave, Hawthorne Elementary, Sioux Falls, SD 57104 2016-08-31
1215299292 Jolene Mitchell Preventive Medicine 900 E 54th St N Ste 100, Sioux Falls, SD 57104 2012-06-14
1871874651 Christine Marie Burg Pharmacist 2503 East 54th Street N., Medvantx Pharmacy Services, Sioux Falls, SD 57104 2011-09-07
Find all providers in zip 57104

Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598325375 Osd Care of Sd, LLC Orthopaedic Surgery 519 W 22nd St Ste 100, Sioux Falls, SD 57105-1745 2019-06-14
1982821898 Michael Coale Devish Orthopaedic Surgery 6100 S Louise Ave Ste 2100, Sioux Falls, SD 57108-6021 2007-04-20
1861615155 Patrick Mark O'brien Orthopaedic Surgery 911 E 20th St Ste 300, Sioux Falls, SD 57105-1045 2007-04-11
1144232042 Travis Richard Liddell Orthopaedic Surgery 2908 E. 26th St., Sioux Falls, SD 57103-4034 2006-08-12
1679524805 Thomas A Ambrose II Orthopaedic Surgery 911 E. 20th St., Ste. 300, Sioux Falls, SD 57105-1045 2006-05-12
1437123320 Erik Douglas Peterson Orthopaedic Surgery 810 E 232rd St, Sioux Falls, SD 57105 2006-02-15
1275530644 Timothy L Walker Orthopaedic Surgery 1210 W 18th St Ste G01, Sioux Falls, SD 57104-4651 2005-06-30
1861022543 Manus, LLC Orthopaedic Surgery 810 E 23rd St, Sioux Falls, SD 57105-2135 2020-01-22
1669735676 Harvey Anthony Oliver IIi Orthopaedic Surgery 1210 W 18th St Ste G01, Sioux Falls, SD 57104-4651 2012-06-25
1366702326 Jonathon Ross Geisinger Orthopaedic Surgery 810 E 23rd St, Sioux Falls, SD 57105 2012-05-24
Find all providers in SIOUX FALLS

Competitor

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City SIOUX FALLS
Zip Code 57104

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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